甲状腺素的急性皮肤不良影响:一个突出治疗挑战的病例报告
Saarthak Miglani1, Tanshi Daljit1, Anurita Srivastava1
1Oncology, Maulana Azad Medical College, India.
Toxicology reports
|August 21, 2025
概括
即使在低剂量中,也可能引起严重的皮肤毒性. 早期识别和治疗至关重要,特别是在患有先前使用抗生素等危险因素的患者中.
科学领域:
- 癌症学
- 皮肤病学
- 药理学
背景情况:
- 甲甲酸 (MTX) 是治疗癌症和自身免疫性疾病的重要抗代谢物.
- 虽然MTX在低剂量中通常是安全的,但在敏感个体中可能会引起显著的毒性.
研究的目的:
- 报告一种由低剂量静脉注射MTX引起的严重皮肤毒性病例.
- 强调在具有特定危险因素的患者中识别MTX毒性的重要性.
主要方法:
- 一个49岁的男性患有晚期口腔粘膜状细胞癌.
- 静脉注射低剂量MTX治疗 (每周两次).
主要成果:
- 患者出现了4级口腔粘膜炎和多重红血斑.
- 尽管使用了低剂量静脉注射MTX,但发生了毒性.
结论:
- 即使在低剂量中,MTX也可能引起严重的皮肤毒性.
- 以前使用抗生素和低血清白蛋白等危险因素可能使患者易患MTX毒性.
- 及时识别和管理对于缓解MTX相关的不良事件至关重要.
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